MAJOR INCIDENT PLAN - NHS Cumbria

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SECTION 4 ALERT AND ACTIVATION9 ALERTING NHS CUMBRIA9.1 The North West Ambulance Service (NWAS) has the responsibility of alerting NHSCumbria in the event of a civil emergency and/or major incident. This is the single routethrough which NHS Cumbria may receive notification of a Major Incident and the possible needto activate the Major Incident Plan. The Alert call will come from the North West AmbulanceService, who will contact the NHS Gold on Call. The nominated Director will be referred to asthe NHS Gold Commander.9.2 NHS Trusts in Cumbria will inform the NHS Gold Commander in the event that theyhave activated their Major Incident Plan.UNUSUAL INCIDENT9.3 Notification of an Unusual Incident may also be received by NWAS from the Police,Fire Services or Local Authority. NWAS will provide the caller with the contact number for theNHS Gold Commander. It will be the decision of the NHS Gold Commander upon thisnotification, to assess the situation and decide the appropriate response. If a NHS CumbriaMajor Incident is declared then the NHS Gold Commander will notify NWAS of its actions.9.4 What is considered to be an unusual incident for one organisation may actually be aMajor Incident for the NHS organisations, and vice versa.CONTACTING PUBLIC HEALTH9.5 There maybe incidents which are neither a Major Incident, nor an Unusual Incident,where an external organisation, for example the Police, require information from a PublicHealth Professional. This may also include public health professional attendance at a MultiAgency Silver Control, or a phone call confirming a public warning message.9.6 Requests for public health information from the Police may also arise during the earlystages of a major incident. During office hours C & L Health Protection Unit will be contacted,Out of Office Hours, the call will be received via the Health Protection Unit Public Health onCall Rota.10 DECLARATION OF A MAJOR INCIDENT10.1 The decision to activate the NHS Cumbria Major Incident Plan will be taken by the ChiefExecutive, Director of Public Health or NHS Cumbria Gold on Call (NHS Gold Commander).When the message is received, the Trusts own internal cascade procedure must then beactivated to inform the required personnel.10.2 In certain circumstances NHS Cumbria may independently declare a major incident inthe light of events or information received. The most senior person immediately availablewould normally do this.10.3 If the major incident is declared by anyone other than NWAS, the North WestAmbulance Service should be notified immediately.NHS CUMBRIAMAJOR INCIDENT PLAN – FRAMEWORK FOR RESPONDING TO A MAJOR INCIDENTPAGE 24 OF 46Version 3 (Dec 2008)
11 CRITERIA FOR ACTIVATION OF THE PLAN11.1 This Plan will be activated when:• An incident occurs which cannot be managed by normal business continuitymanagement e.g. the closure or evacuation of one or more healthcare premises, ormajor equipment failure• An incident causes serious disruption to one or more of the services provided by NHSCumbria• An incident results in exceptional increase in the demand for a service provided by NHSCumbria and requires special arrangements to be put in place• An incident occurs which represents a threat to public health or well being or involvesserious concern or alarm and is within the scope of NHS Cumbria to manage andcontain• There is a requirement for a coordinated response across Primary Care Trustboundaries• There is a request from NHS North West12 NHS ALERT MESSAGES12.1 In order to avoid confusion about when to implement plans, it is important that thefollowing standard messages are used to identify and implement the stages of the response;NHS CUMBRIAMAJOR INCIDENT PLAN – FRAMEWORK FOR RESPONDING TO A MAJOR INCIDENTPAGE 25 OF 46Version 3 (Dec 2008)
Page 1 and 2: MAJOR INCIDENT PLANFramework for re
Page 3 and 4: Document ControlPolicy Number:Autho
Page 5 and 6: It will be the responsibility of th
Page 7 and 8: TABLE OF CONTENTSChapter Para Descr
Page 9 and 10: SECTION 7 GENERAL GUIDANCE ON INCID
Page 11 and 12: SECTION 11. INTRODUCTION1.1 The Maj
Page 13 and 14: SECTION 2 FRAMEWORK, GUIDANCE AND D
Page 15 and 16: Cumbria to discharge their civil pr
Page 17 and 18: 5. NHS EMERGENCY PLANNING GUIDANCE
Page 19 and 20: 5.9 Although not formally described
Page 21 and 22: • Run a programme of training and
Page 23 and 24: 8 THE ROLES AND RESPONSIBILITIES OF
Page 25: 8.8 The Primary Care Trusts have ag
Page 29 and 30: 13 ALERT AND RESPONSE FLOWCHART FOR
Page 31 and 32: 15 LEVELS OF MAJOR INCIDENTINCIDENT
Page 33 and 34: 16 INCIDENT AFFECTING THE WIDER NHS
Page 35 and 36: NHS NORTH WEST (STRATEGIC HEALTH AU
Page 37 and 38: 21 DEBRIEF21.1 An NHS debrief of th
Page 39 and 40: the NHS within the region and advis
Page 41 and 42: 29.4 The NHS Cumbria Incident Contr
Page 43 and 44: 31 HELPLINES31.1 The Incident Contr
Page 45 and 46: • Depending on the nature of the
Page 47 and 48: input from NHS Cumbria community nu
Page 49: Contact details:Name:Diane Weatherl

MAJOR INCIDENT PLAN - NHS Cumbria

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